Individual provider · Type 1 NPI

Thomas Michael Russell Jr., BA

Mental Health Counselor · Bowling Green, KY

NPI number 1467190777 Active

About NPI 1467190777

Thomas Michael Russell Jr., BA's National Provider Identifier is 1467190777, issued on May 25, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bowling Green, KY. The record was last updated on May 25, 2022.